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CANCER THERAPY MEDICAL GROUP INC NPI 1659381549


NPI Information

NPI: 1659381549
Provider Name: CANCER THERAPY MEDICAL GROUP INC

Doing Business As: FRESNO CANCER CENTER & CENTRAL VALLEY BREAST CARE

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
7887 N CEDAR AVE
FRESNO, CA
ZIP 93720
Phone: (559) 437-1000
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CANCER THERAPY MEDICAL GROUP INC is a radiation oncology radiology in Fresno, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. CANCER THERAPY MEDICAL GROUP INC NPI is 1659381549. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresno Cancer Center & Central Valley Breast Care.

The provider's business location address is:

7887 N CEDAR AVE
FRESNO, CA
ZIP 93720-685
Phone: (559) 437-1000
Fax: (559) 437-3870

The provider's authorized official is Jonathan Humphrey .
The authorized official title is Medical Director and has the following contact phone number (925) 952-8700.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 4/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QX0200XClinic/CenterOncologyNo
32085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0092411MEDICAIDCALIFORNIA
2DC7191OTHERRAILROAD MEDICARE
3ZZZ208856ZOTHERBLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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